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انحراف زانو و اصلاح ان به روش جراحی - پاسخ به چند سوال روش های جراحی +هزینه عمل

پاسخ به چند سوال روش های جراحی +هزینه عمل

نویسنده :حامد ح
تاریخ:یکشنبه 13 مرداد 1392-08:03 ب.ظ

1. سوال اقا مجید که پرسیدن کدوم روش جراحی رو پیشنهاد میکنم
روش ها همونطور که گفتن این 3 روشه

1- جراحی به روش برداشتن یک تکه استخوان مثلثی شکل از بالای استخوان ساق پا :
(open wedge osteotomy)
در این روش با توجه به اینکه قطعه ای از استخوان برداشته میشه قد کمی کوتاه میشه ولی خوبیش اینه که بعد عمل محکمه و فرد میتونه زود راه بیفته.
2- روش گذاشتن یک استخوان مثلثی شکل:
در این روش پس از برش استخوان ساق یک قطعه مثلثی شکل از استخوان یا مواد مصنوعی دیگه گذاشته میشه. این باعث میشه که کمی به طول قد اضافه بشه. اشکال اون اینه که قطعه استخوان مذکور یا باید از لگن خود فرد برداشته بشه (Auto graft) یا از استخوان یک فرد فوت شده(Allo graft) و یا از مواد ساختگی. که هر کدوم مسائل و هزینه های خودش رو داره.
3- روش برش قوسی شکل:(Dome shape osteotomy)
در این روش به دلیل اینکه استخوان گذاشته یا برداشته نمیشه٬ تقریبا طول استخوان تغییر نمی کنه. گفتم تقریبا چون به دلیل اصلاح زاویه ای که صورت میگیره کمی به طول استخوان اضافه میشه ولی خیلی کم.

پاسخ
بنده روش سوم رو پیشنهاد میدم
چون در دو روش اول زمان بهبود خیلی زیاده و بعد برای راه رفتن کمی مشکل براتون پیش میاد محل عمل یکم بزرگه و درد عمل هم خیلی بالاست چند نفر از کسانی که این عمل هارو انجام دادن رو باهاشون صحبت کردم راضی نبودن
اما در روش سوم زودتر استخوان جوش میخوره چون استخوانی برداشته نمیشه به طوری که بعد از عمل هیچ اثری روی استخوان در عکس رادیولوِژی نیست استخوان هم چون یک تکه و از یک جنسه محکمتر میشه
از اون گذشته مثل روش دوم استخوانی از جای دیگه برداشته نمیشه و در نتیجه زخم اضافی هم ایجاد نمیشه
اگر اطلاعات دیگه هم میخوان بگین تا بدم
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